Prostate Health

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* 1. How many times a night do you get up to pee?

1

2

3

4

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* 2. I pee in Morse Code

Yes

No

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* 3. I have pain associated with the prostate, also known as prostatitis

Yes

No

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* 4. I have trouble getting my urine stream started

Yes

No

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* 5. I don't feel completely empty when I am done peeing

Yes

No

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* 6. I dribble after I am done peeing

Yes

No

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* 7. My erections are not as firm as they use to be (or non-existent now)

Yes

No

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* 8. Doctor wants me to have my prostate removed

Yes

No

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* 9. I have had my prostate removed and struggle with continence.

Yes

No

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* 10. If you have said "yes" to any of the above questions AND you want more information about how pelvic physical therapy can help YOU, then leave your name and email address and Charles will contact you about his free workshop on prostate health. Help is an email away!

Name

Email Address